Archives of Plastic Surgery

Korean Society of Plastic and Reconstructive Surgeons (대한성형외과학회)
권호 표지

The Comparison between Anterolateral Thigh Free Flap and Radial Forearm Free Flap in Partial Glossectomy Defect - An Evaluation of Donor Site Morbidity and Functional Outcome

유리 전외측 대퇴부 피판과 유리 요측 전박피판을 이용한 설재건 시공여부 및 기능적 결과 비교

  • Cho, Sang Hyun (Institue for Human Tissue Restoration & Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Lee, Won Jai (Institue for Human Tissue Restoration & Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Lew, Dae Hyun (Institue for Human Tissue Restoration & Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine) ;
  • Tark, Kwan Chul (Institue for Human Tissue Restoration & Department of Plastic & Reconstructive Surgery, Yonsei University College of Medicine)
  • 조상현 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소) ;
  • 이원재 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소) ;
  • 유대현 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소) ;
  • 탁관철 (연세대학교 의과대학 성형외과학교실, 인체조직복원연구소)
  • Received : 2006.12.19
  • Published : 2007.05.10
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: The purpose of this study is to evaluate the functional outcome and donor site morbidity of anterolateral thigh free flap(ALT) compared to Radial forearm free flap(RFFF) for the reconstruction of partial glossectomy defect. Methods: 5 ALT free flap (group I) were attempted for partial glossectomy patients. We compared patients undergone ALT flap with those(n=11) of similar size defect reconstructed with RFFF (Group II). Rating scales for articulation and swallowing function were applied and donor site morbidity have been evaluated. Results: The scales for speech function showed no difference between the two groups (average score; group I - 6.4, group II - 6.45). Swallowing function also showed no difference between the two groups(average score; Group I - 6.6, Group II - 6.27). ALT group had one patient with donor site morbidity(numbness). All of the RFFF patients(11/11) complained and suffered from hypertrophic scar, retraction, numbness or hyperpigmentation on forearm donor site. Based on our study, ALT free flap is comparable to that of RFFF in terms of functional assessment in tongue reconstruction. Conclusion: Considering the donor site morbidity, ALT flap is to be valuable to reconstruct partial glossectomy defect.

Keywords

References

  1. Nakayama B, Hyodo I, Hasegawa Y, Fujimoto Y, Matsuura H, Yatsuya H, Torii S: Role of the anterolateral thigh flap in head and neck reconstruction: advantages of moderate skin and subcutaneous thickness. J Reconstr Microsurg 18: 141, 2002
  2. Yu P: Characteristics of the anterolateral thigh flap in a Western population and its application in head and neck reconstruction. Head Neck 26: 759, 2004 https://doi.org/10.1002/hed.20050
  3. Sultan MR, Coleman JJ 3rd: Oncologic and functional considerations of total glossectomy. Am J Surg 158: 297, 1989
  4. Teichgraeber J, Bowman J, Goepfert H: New test series for the functional evaluation of oral cavity cancer. Head Neck Surg 8: 9, 1985
  5. Hsiao HT, Leu YS, Lin CC: Tongue reconstruction with free radial forearm flap after hemiglossectomy: a functional assessment. J Reconstr Microsurg 19: 137, 2003 https://doi.org/10.1055/s-2003-39824
  6. Su WF, Hsia YJ, Chang YC, Chen SG, Sheng H: Functional comparison after reconstruction with a radial forearm free flap or a pectoralis major flap for cancer of the tongue. Otolaryngol Head Neck Surg 128: 412, 2003 https://doi.org/10.1067/mhn.2003.38
  7. Hara I, Gellrich NC, Duker J, Schon R, Fakler O, Smelzeisen R, Honda T, Satoru 0: Swallowing and speech 335 function after intraoral soft tissue reconstruction with lateral upper arm free flap and radial forearm free flap. Br J Oral Maxillofac Surg 41: 161, 2003 https://doi.org/10.1016/S0266-4356(03)00068-8
  8. Smith GI, Yeo D, Oark J, Choy ET, Gao K, Oates J, O'Brien q: Measures of health-related quality of life and functional status in survivors of oral cavity cancer who have had defects reconstructed with radial forearm free flaps. Br J Oral Maxillofac Surg 44: 187, 2006 https://doi.org/10.1016/j.bjoms.2005.06.022
  9. Huang CH, Chen HC, Huang YL, Mardini S, Feng GM: Comparison of the radial forearm flap and the thinned anterolateral thigh cutaneous flap for reconstruction of tongue defects: an evaluation of donor site morbidity. Plast Reconstr Surg 114: 1704, 2004 https://doi.org/10.1097/01.PRS.0000142476.36975.07
  10. Moerman M, Vermeersch H, Van Lierde K, Fahimi H, Van Cauwenberge P: Refinement of the free radial forearm flap reconstructive rechnique after resection of large oropharyngeal malignancies with excellent functional results. Head Neck 25: 772, 2003 https://doi.org/10.1002/hed.10295
  11. Lin DT, Coppit GL, Burkey BB: Use of the anterolateral thigh flap for reconstruction of the head and neck. Curr Opin Otolaryngol Head Neck Surg 12: 300, 2004 https://doi.org/10.1097/01.moo.0000130575.10656.97
  12. Chana JS, Wei FC: A review of the advantages of the anterolateral thigh flap in head and neck reconstruction. Br J Plast Surg 57: 603, 2004 https://doi.org/10.1016/j.bjps.2004.05.032